Providence Health & Services-Oregon
Radiologic Technologist in Vancouver, WA. Organization (NPI-2).
NPI number1073896551
StatusActive
Last updated in NPPESJan 11, 2012
Details
- NPI
- 1073896551
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services-Oregon
- Organization subpart
- Yes
- Enumeration date
- Sep 21, 2011
- Last updated
- Jan 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | – | WA | Yes |
Other names
- Providence Radiology-Mill Plain (Doing Business As)
Practice location
315 Se Stone Mill DrSuite 102
Vancouver, WA 98684-6998
Phone 360-816-2733 · Fax 360-816-2710
Mailing address
Po Box 3395Portland, OR 97208-3395
Phone 503-215-4323 · Fax 503-215-0297
Authorized official
Kathleen Dowling
Sys Dir Rc Business Operations
5032154323
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